Individual provider Active NPI

Haylie N Wilson, PA

  • Medical Physician Assistant
  • Knoxville, TN
National Provider Identifier
1407405020
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3966 Issued in TN
Practice address
2519 Willow Point Way
Knoxville, TN 37931-3162
Phone
(865) 694-9349
Fax
(865) 694-9883
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3966 TN Primary

Addresses

Primary practice location

2519 Willow Point Way
Knoxville, TN 37931-3162

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Other practice location 1

850 Briarcliff Ave
Oak Ridge, TN 37830-8743
Phone (865) 483-3172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114003375 TN Practitioner - Physician Assistant 9335571264 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians
Uhs Primary Care LLCGroup PAC ID 1153849856, 92 clinicians

Practice addresses (Care Compare)

103 Midlake Dr
Knoxville, TN 37918-3002
Phone (865) 687-1973

2531 Willow Point Way
Suite 105
Knoxville, TN 37931-3162
Phone (865) 694-9349

5779 Creekwood Park Blvd
Suite 220
Lenoir City, TN 37772-1203
Phone (865) 988-6330

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc CurrentSince Oct 1, 2019 Accepting new patients
Uhs Primary Care LLC CurrentSince Jul 1, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 20, 2025 Accepting new patients
Uhs Primary Care LLC CurrentSince Jul 1, 2025 Accepting new patients
Summit Medical Group, PLLC Physician Assistant CurrentSince Nov 20, 2025 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

103 Midlake Dr
Knoxville, TN 37918
Phone (865) 687-1973

4005 Fountain Valley Dr
Ste 350
Knoxville, TN 37918
Phone (865) 925-9020

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

2519 Willow Point Way
Knoxville, TN 37931
Phone (865) 694-9349

5779 Creekwood Park Blvd
Ste 220
Lenoir City, TN 37772
Phone (865) 988-6330

850 Briarcliff Ave
Oak Ridge, TN 37830
Phone (865) 483-3172

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1407405020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "833-908-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 WILLOW POINT WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313162",
            "telephone_number": "865-694-9349",
            "fax_number": "865-694-9883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Briarcliff Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378308743",
            "country_code": "US",
            "telephone_number": "865-483-3172",
            "fax_number": "833-908-2163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HAYLIE",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.